| Roots And Wings Therapeutic Services Llc | |
|
9817 Garden Ln, Rogers, MN 55374-9775 | |
| (612) 408-6580 | |
| Not Available |
| Full Name | Roots And Wings Therapeutic Services Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 9817 Garden Ln, Rogers, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902564420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Michelle Louise Pettit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760917710 PECOS PAC ID: 2769813096 Enrollment ID: I20200520002254 |
| Provider Name | Elizabeth Juanita Duffy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124286786 PECOS PAC ID: 5193118719 Enrollment ID: I20220203000729 |
| Provider Name | Nicole Huelsman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780196899 PECOS PAC ID: 6507202777 Enrollment ID: I20240311000571 |
| Provider Name | Hannah Kreider-letterman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730941113 PECOS PAC ID: 6507202785 Enrollment ID: I20240311000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Roots And Wings Therapeutic Services Llc 4707 Highway 61 N Ste 150, White Bear Lake, MN 55110-3227 Ph: (601) 392-2097 | Roots And Wings Therapeutic Services Llc 9817 Garden Ln, Rogers, MN 55374-9775 Ph: (612) 408-6580 |
Elizabeth Stock, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23618 Carmen Ct N, Rogers, MN 55374 Phone: 612-418-6979 | |
Victoria Elaine Larkin, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14000 Northdale Blvd, Rogers, MN 55374 Phone: 952-544-0349 | |
Danielle Erler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 20600 S Diamond Lake Rd, Rogers, MN 55374 Phone: 763-428-1981 | |
Stephanie L Blossomgame, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20600 S. Diamond Lake Rd, Rogers, MN 55374 Phone: 763-428-4315 | |
Hannah Kreider-letterman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9817 Garden Ln, Rogers, MN 55374 Phone: 601-392-2097 |